预置球囊导管在凶险性前置胎盘伴胎盘植入剖宫产术中的护理

Preset balloon catheter for cesarean section in patients with dangerous placenta previa complicated by placenta accreta:discussion on its nursing care

目的总结应用预置球囊导管技术阻塞大动脉血流控制凶险性前置胎盘剖宫产术中的护理配合经验。方法胎儿娩出后,采用球囊导管阻塞腹主动脉或左右髂内动脉后行胎盘分离或子宫切除,以减少出血量。护士在手术前做好充分评估,充足的准备,加强心理护理,手术时密切配合,正确护理,防止手术过程中球囊导管发生移位、滑脱、破裂,保证手术顺利进行。结果 11例术中均未发生护理不良事件,术后痊愈出院。结论手术时密切配合,周密、细致的观察与正确安全护理,保证了手术顺利进行。

Objective To summarize the nursing experience of using preset balloon catheter to occlude larger artery blood flow in order to safely complete cesarean section for patients with pernicious placenta previa complicated by placenta accreta. Methods After delivery of fetus, in order to reduce the amount of bleeding the balloon catheter was used to obstruct the abdominal aorta or both left and right internal iliac arteries, which was followed by the separation of the placenta or hysterectomy. Before the operation, the nurses made full assessment of patient＇ s condition and adequate preparation, and strengthened the psychological care as well. During the operation, the nurses closely cooperated with surgeons and performed correct nursing to prevent the occurrence of displacement, shifting and rupture of the balloon catheter, thus to ensure a successful operation. Results No nursing-related adverse events occurred in all 11 patients during the operation. All patients were recovered and discharged from hospital. Conclusion Close cooperation, careful observation and correct nursing during the operation are the guarantees for ensuring a successful and smooth operation.